Therapists in London, OH

Photo of Rebekah Cotner, Counselor in London, OH
Rebekah Cotner
Counselor, MA, LPCC-S
Verified Verified
London, OH 43140
Not accepting new clients
I am a licensed clinical counselor who works with children, adolescents, and adults. I approach clients from a strengths-based perspective and customize therapy to the needs of the individual or family. I utilize client-centered therapy, cognitive behavioral therapy, and solutions-focused therapy. I also use art and play therapy with children during sessions when appropriate.
I am a licensed clinical counselor who works with children, adolescents, and adults. I approach clients from a strengths-based perspective and customize therapy to the needs of the individual or family. I utilize client-centered therapy, cognitive behavioral therapy, and solutions-focused therapy. I also use art and play therapy with children during sessions when appropriate.
(740) 761-2271 View (740) 761-2271
Photo of Darby Creek Counseling, Counselor in London, OH
Darby Creek Counseling
Counselor, MEd, LPCC-S
Verified Verified
1 Endorsed
London, OH 43140
Waitlist for new clients
We provide trauma-informed mental health therapy for children, adolescents, and adults. We work with our clients from our first interaction to make sure their treatment is individualized to meet their mental health needs and personal goals. Our staff of over 30 diverse and skilled therapists provide the highest quality care to serve diverse communities with respect to their spiritual, cultural, and individual differences. Our offices in Hilliard, Ohio and London, Ohio are available to work in-person with community members in Central, Ohio or we are available for Telehealth services throughout the State.
We provide trauma-informed mental health therapy for children, adolescents, and adults. We work with our clients from our first interaction to make sure their treatment is individualized to meet their mental health needs and personal goals. Our staff of over 30 diverse and skilled therapists provide the highest quality care to serve diverse communities with respect to their spiritual, cultural, and individual differences. Our offices in Hilliard, Ohio and London, Ohio are available to work in-person with community members in Central, Ohio or we are available for Telehealth services throughout the State.
(740) 845-8652 View (740) 845-8652
Photo of Ryan Van Pelt, Counselor in London, OH
Ryan Van Pelt
Counselor, MA, LPCC
Verified Verified
1 Endorsed
London, OH 43140
Sometimes life is hard and sometimes life hurts, but there is always hope. Pain, loss, and suffering are real. I am willing to meet you where you are, to take the time to come along side you, and I am willing to help. Every client is different, and there is no single way to help everyone. That is why I take the time to listen to your story. I utilize clinically proven solution-focused therapies and cognitive behavioral therapies to help clients heal.
Sometimes life is hard and sometimes life hurts, but there is always hope. Pain, loss, and suffering are real. I am willing to meet you where you are, to take the time to come along side you, and I am willing to help. Every client is different, and there is no single way to help everyone. That is why I take the time to listen to your story. I utilize clinically proven solution-focused therapies and cognitive behavioral therapies to help clients heal.
(614) 705-0548 View (614) 705-0548
Photo of Christa Carnahan, Clinical Social Work/Therapist in London, OH
Christa Carnahan
Clinical Social Work/Therapist, LISW-S
Verified Verified
London, OH 43140
Christa Carnahan is a Licensed Independent Social Worker Supervisor in Ohio who has been practicing since 1996. Christa is very good at starting where a client is. She thinks that she builds a rapport well. Christa has strong skills at goal setting and can help someone figure out what goals will fit best for them. She can assist someone in breaking these goals down into manageable steps to help them achieve each small goal to feel successful. Christa works well with her clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment.
Christa Carnahan is a Licensed Independent Social Worker Supervisor in Ohio who has been practicing since 1996. Christa is very good at starting where a client is. She thinks that she builds a rapport well. Christa has strong skills at goal setting and can help someone figure out what goals will fit best for them. She can assist someone in breaking these goals down into manageable steps to help them achieve each small goal to feel successful. Christa works well with her clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment.
(614) 654-3412 View (614) 654-3412
Photo of Kara Leach, Licensed Professional Clinical Counselor in London, OH
Kara Leach
Licensed Professional Clinical Counselor, LPCC-S, CMHIMP
Verified Verified
London, OH 43140
Kara Leach is a Licensed Professional Clinical Counselor in Ohio who has been practicing since 2001. Kara provides individual therapy to women struggling with depression, anxiety, trauma, grief, postpartum anxiety/depression, life transitions, parenting struggles, relationship struggles, and perimenopause/menopause. Kara aims to meet her clients where they are in their current struggles and walk alongside them on their healing journey. She utilizes CBT, ACT, DBT, supportive therapy, and mindfulness.
Kara Leach is a Licensed Professional Clinical Counselor in Ohio who has been practicing since 2001. Kara provides individual therapy to women struggling with depression, anxiety, trauma, grief, postpartum anxiety/depression, life transitions, parenting struggles, relationship struggles, and perimenopause/menopause. Kara aims to meet her clients where they are in their current struggles and walk alongside them on their healing journey. She utilizes CBT, ACT, DBT, supportive therapy, and mindfulness.
(614) 666-6982 View (614) 666-6982
Photo of Madea Carpenter, Clinical Social Work/Therapist in London, OH
Madea Carpenter
Clinical Social Work/Therapist, LSW
Verified Verified
London, OH 43140
Madea Carpenter, LMSW Madea Carpenter is a Licensed Master Social Worker in Ohio who has been practicing since 2016. Madea specializes in trauma-informed care, cognitive behavioral therapy, DBT, strengths-based therapy, and substance abuse counseling. Outside of work, Madea enjoys crime shows, reading, and relaxing!.
Madea Carpenter, LMSW Madea Carpenter is a Licensed Master Social Worker in Ohio who has been practicing since 2016. Madea specializes in trauma-informed care, cognitive behavioral therapy, DBT, strengths-based therapy, and substance abuse counseling. Outside of work, Madea enjoys crime shows, reading, and relaxing!.
(614) 877-6255 View (614) 877-6255
Photo of Julia Johnston, Drug & Alcohol Counselor in London, OH
Julia Johnston
Drug & Alcohol Counselor, MA, LPCC, LICDC
Verified Verified
London, OH 43140
Julia Johnston, LPCC Julia Johnston is a Licensed Clinical Professional Counselor in Ohio who has been practicing since 2017. She attended Ohio Northern University where she received her BA in Psychology. At ONU, Julia worked with her professor to conduct research on how trauma impacts learning and memory. She presented her research findings at the national level. Julia attended John Carroll University for her MA in Clinical Mental Health Counseling with a specialization in addiction. Throughout her life, Julia has always been fascinated by how the brain works and how it influences thoughts, feelings, and emotions.
Julia Johnston, LPCC Julia Johnston is a Licensed Clinical Professional Counselor in Ohio who has been practicing since 2017. She attended Ohio Northern University where she received her BA in Psychology. At ONU, Julia worked with her professor to conduct research on how trauma impacts learning and memory. She presented her research findings at the national level. Julia attended John Carroll University for her MA in Clinical Mental Health Counseling with a specialization in addiction. Throughout her life, Julia has always been fascinated by how the brain works and how it influences thoughts, feelings, and emotions.
(614) 412-5692 View (614) 412-5692
Photo of Michele Baiz, Clinical Social Work/Therapist in London, OH
Michele Baiz
Clinical Social Work/Therapist, MSW, LISW-S
Verified Verified
London, OH 43140
I utilize an eclectic approach to therapy. I believe it is important to learn a person, their history, their goals, and their daily experiences so as to form the best treatment approach to address various needs. I have over 20 years of experience working with individuals, couples, and families and have worked extensively with trauma survivors. I am trained in EMDR and TF-CBT. I treat individuals experiencing depression, anxiety, self-esteem issues, addiction, and stress associated with life transitions.
I utilize an eclectic approach to therapy. I believe it is important to learn a person, their history, their goals, and their daily experiences so as to form the best treatment approach to address various needs. I have over 20 years of experience working with individuals, couples, and families and have worked extensively with trauma survivors. I am trained in EMDR and TF-CBT. I treat individuals experiencing depression, anxiety, self-esteem issues, addiction, and stress associated with life transitions.
(937) 230-8436 View (937) 230-8436
Photo of Angela Bolenbaugh, Licensed Professional Counselor in London, OH
Angela Bolenbaugh
Licensed Professional Counselor
Verified Verified
London, OH 43140
Angela is a Licensed Professional Counselor in Ohio, who has been practicing since 2024. She earned her Bachelor's Degree in Psychology from the Ohio State University and a Master's Degree in Clinical Mental Health Counseling from the University of Dayton. Angela has several years of experience working with adults and adolescents in both Community Mental Health and School-Based settings. Her training includes Person-Centered Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Exposure and Response Prevention, as well as, Motivational Interviewing.
Angela is a Licensed Professional Counselor in Ohio, who has been practicing since 2024. She earned her Bachelor's Degree in Psychology from the Ohio State University and a Master's Degree in Clinical Mental Health Counseling from the University of Dayton. Angela has several years of experience working with adults and adolescents in both Community Mental Health and School-Based settings. Her training includes Person-Centered Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Exposure and Response Prevention, as well as, Motivational Interviewing.
(740) 480-3391 View (740) 480-3391
Photo of Dominique Ater, Licensed Professional Counselor in London, OH
Dominique Ater
Licensed Professional Counselor
Verified Verified
London, OH 43140
Dominique Ater is a Licensed Professional Counselor in Ohio who has been practicing since 2021. She received her Master of Science in Clinical Mental Health Counseling from Walden University. She gained experience working in community mental health settings focusing on co-occurring substance use and mental health issues focusing on behavior modification, depression, anxiety, trauma, bipolar disorder, ODD, and borderline personality disorder. Dominique has experience working with children, adolescents, adults, and couples. Dominique understands that asking a stranger for help can be difficult and scary.
Dominique Ater is a Licensed Professional Counselor in Ohio who has been practicing since 2021. She received her Master of Science in Clinical Mental Health Counseling from Walden University. She gained experience working in community mental health settings focusing on co-occurring substance use and mental health issues focusing on behavior modification, depression, anxiety, trauma, bipolar disorder, ODD, and borderline personality disorder. Dominique has experience working with children, adolescents, adults, and couples. Dominique understands that asking a stranger for help can be difficult and scary.
(614) 683-4813 View (614) 683-4813
Photo of Lady-Dreama Gordon, Clinical Social Work/Therapist in London, OH
Lady-Dreama Gordon
Clinical Social Work/Therapist
Verified Verified
London, OH 43140
Lady-Dreama Gordon is a Licensed Independent Clinical Social Worker in Ohio who has been practicing since 2010. She has a Master's in Social Work from The Ohio State University. Lady-Dreama will be a guide to help you through your healing journey. She offers insight and psychoeducation to teach new healthy skills, techniques, and ways to deal with all that life has to offer. Born and raised in Columbus, Ohio, she was reared by a single father as her mother passed when she was just 3 years old, due to health complications.
Lady-Dreama Gordon is a Licensed Independent Clinical Social Worker in Ohio who has been practicing since 2010. She has a Master's in Social Work from The Ohio State University. Lady-Dreama will be a guide to help you through your healing journey. She offers insight and psychoeducation to teach new healthy skills, techniques, and ways to deal with all that life has to offer. Born and raised in Columbus, Ohio, she was reared by a single father as her mother passed when she was just 3 years old, due to health complications.
(614) 881-2701 View (614) 881-2701
Photo of Stephanie Krznarich, Clinical Social Work/Therapist in London, OH
Stephanie Krznarich
Clinical Social Work/Therapist, LISW-S
Verified Verified
London, OH 43140
Stephanie Krznarich is a Licensed Independent Social Worker Supervisor in Ohio who has been practicing since 1993. She has a Bachelor's and Master's degree in Social Work from The Ohio State University and attended Bethany Theological Seminary where her focus was on Pastoral Care and Counseling as well as Chaplaincy. Stephanie brings more than 30 years of experience to the counseling relationship. Her focus has been working with individuals who have substance use disorders and/or mental health disorders, cognitive impairment, in addition to trauma survivors.
Stephanie Krznarich is a Licensed Independent Social Worker Supervisor in Ohio who has been practicing since 1993. She has a Bachelor's and Master's degree in Social Work from The Ohio State University and attended Bethany Theological Seminary where her focus was on Pastoral Care and Counseling as well as Chaplaincy. Stephanie brings more than 30 years of experience to the counseling relationship. Her focus has been working with individuals who have substance use disorders and/or mental health disorders, cognitive impairment, in addition to trauma survivors.
(614) 739-8096 View (614) 739-8096

Online Therapists

Photo of Abigail Berkey, Clinical Social Work/Therapist in London, OH
Abigail Berkey
Clinical Social Work/Therapist, LISW, EMDR
Verified Verified
Mason, OH 45040
My goal is to offer the best treatment that will empower individuals to overcome barriers and unhelpful patterns related to past trauma, current stressors, and future anxieties using EMDR, CBT, and TF-CBT interventions.
My goal is to offer the best treatment that will empower individuals to overcome barriers and unhelpful patterns related to past trauma, current stressors, and future anxieties using EMDR, CBT, and TF-CBT interventions.
(513) 995-1443 View (513) 995-1443
Photo of Zaida Lane-Shephard, Clinical Social Work/Therapist in London, OH
Zaida Lane-Shephard
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
1 Endorsed
Dublin, OH 43017
Zaida Lane-Shephard (she/hers) is a licensed independent social worker with an undergraduate degree in social work from Western Kentucky University and a master's degree in social work from Campbellsville University. As a mental health therapist, Zaida's goal is to create a space where her clients feel seen, valued, held, and respected. She believes that while we cannot change difficult situations of the past, we will work collaboratively to develop tools and techniques to better handle life's stressors and promote a journey toward living a more mindful life that is aligned with your personal values.
Zaida Lane-Shephard (she/hers) is a licensed independent social worker with an undergraduate degree in social work from Western Kentucky University and a master's degree in social work from Campbellsville University. As a mental health therapist, Zaida's goal is to create a space where her clients feel seen, valued, held, and respected. She believes that while we cannot change difficult situations of the past, we will work collaboratively to develop tools and techniques to better handle life's stressors and promote a journey toward living a more mindful life that is aligned with your personal values.
(614) 618-3142 View (614) 618-3142
Photo of Macey Windley, Licensed Professional Counselor in London, OH
Macey Windley
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
Cincinnati, OH 45208
Have you ever felt like an imposter in school, work, or your relationships? Do you constantly live with the fear of being "found out"? What about striving for perfection in all aspects of your life? I know exactly what you're feeling: the never-ending cycle of self-criticism and anxiety. Navigating perfectionism-driven anxiety can be terrifying, and I don't want you to have to suffer this anymore. Holistic practices and Cognitive-Behavioral approaches can help reduce this anxiety tremendously.
Have you ever felt like an imposter in school, work, or your relationships? Do you constantly live with the fear of being "found out"? What about striving for perfection in all aspects of your life? I know exactly what you're feeling: the never-ending cycle of self-criticism and anxiety. Navigating perfectionism-driven anxiety can be terrifying, and I don't want you to have to suffer this anymore. Holistic practices and Cognitive-Behavioral approaches can help reduce this anxiety tremendously.
(513) 845-2302 View (513) 845-2302
Photo of Sophia A Sparks, Licensed Professional Counselor in London, OH
Sophia A Sparks
Licensed Professional Counselor, LSW, LPC
Verified Verified
1 Endorsed
West Chester, OH 45069
The world is not built for kind, empathic people. It can wear you down fast and even faster without the right skills. Stress builds up and becomes anxiety: your mind runs amok with worry and doubt. You question your worth. You relive trauma- did you deserve it? Were they right about you? Why did it happen? Relationships are difficult because they require trust and vulnerability. How could a partner understand you when you can't? You're told finding purpose helps, but you don't know yours. Right now, there isn't even room to think about it. It's all too much. It may be too much on your own,but with guidance this can be healed
The world is not built for kind, empathic people. It can wear you down fast and even faster without the right skills. Stress builds up and becomes anxiety: your mind runs amok with worry and doubt. You question your worth. You relive trauma- did you deserve it? Were they right about you? Why did it happen? Relationships are difficult because they require trust and vulnerability. How could a partner understand you when you can't? You're told finding purpose helps, but you don't know yours. Right now, there isn't even room to think about it. It's all too much. It may be too much on your own,but with guidance this can be healed
(513) 457-1616 View (513) 457-1616
Photo of Kimberly Foreman, Clinical Social Work/Therapist in London, OH
Kimberly Foreman
Clinical Social Work/Therapist, LISWS
Verified Verified
Lewis Center, OH 43035
My ideal client is ready to do the hard work of making real change in their life. Sometimes, people think change has to be big to start therapeutic services; it doesn’t. Sometimes, learning to breathe, decrease anxiety, and be more mindful of your strengths can become a great asset. Therapy doesn’t have to be forever; sometimes, you just need help getting through the now. I help individuals & families dealing with chronic illnesses and end of life. At times like those, crises often happen: medical conflict, spiritual conflict, familial conflict, financial concerns, housing and food insecurity.
My ideal client is ready to do the hard work of making real change in their life. Sometimes, people think change has to be big to start therapeutic services; it doesn’t. Sometimes, learning to breathe, decrease anxiety, and be more mindful of your strengths can become a great asset. Therapy doesn’t have to be forever; sometimes, you just need help getting through the now. I help individuals & families dealing with chronic illnesses and end of life. At times like those, crises often happen: medical conflict, spiritual conflict, familial conflict, financial concerns, housing and food insecurity.
(740) 677-6625 View (740) 677-6625
Photo of Megan Yetzer, Psychologist in London, OH
Megan Yetzer
Psychologist, PhD
Verified Verified
1 Endorsed
Powell, OH 43065  (Online Only)
Dr. Yetzer has been trained as a generalist, which means she values working with clients in different stages of life who may seek therapy for a variety of reasons. Dr. Yetzer is especially passionate about working with women who are entering young adulthood and experiencing life transitions and identity exploration.
Dr. Yetzer has been trained as a generalist, which means she values working with clients in different stages of life who may seek therapy for a variety of reasons. Dr. Yetzer is especially passionate about working with women who are entering young adulthood and experiencing life transitions and identity exploration.
(380) 207-9521 View (380) 207-9521
Photo of Rebecca Swartzendruber, Licensed Professional Clinical Counselor in London, OH
Rebecca Swartzendruber
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Cincinnati, OH 45236  (Online Only)
Hello! My name is Rebecca Swartzendruber. I’m a Professional Clinical Counselor in the State of Ohio. I have an undergraduate degree in Social Work and a Master’s degree in Mental Health Counseling. I’ve practiced mental health counseling for about 8 years. I work primarily with adults who are encountering life challenges in work and relationships, and who are experiencing mental health challenges in their personal life. I believe therapy is at it’s best when we work together to build a counseling relationship based on mutual respect and trust.
Hello! My name is Rebecca Swartzendruber. I’m a Professional Clinical Counselor in the State of Ohio. I have an undergraduate degree in Social Work and a Master’s degree in Mental Health Counseling. I’ve practiced mental health counseling for about 8 years. I work primarily with adults who are encountering life challenges in work and relationships, and who are experiencing mental health challenges in their personal life. I believe therapy is at it’s best when we work together to build a counseling relationship based on mutual respect and trust.
(513) 960-6230 View (513) 960-6230
Photo of Steven Miller, Counselor in London, OH
Steven Miller
Counselor, MSE, LPCC
Verified Verified
2 Endorsed
Westerville, OH 43081
My clients are those who feel frustrated due to recurring negative thoughts or behaviors they struggle to change on their own. We work together to improve these harmful patterns that can seem like a never-ending loop. To help initiate change, my therapeutic style utilizes a humanistic and person centered approach emphasizing trauma informed care. This approach centers our work on harmful thoughts, emotions, and behaviors so we can work on the whole person to identify areas of need, allowing the opportunity to support those who have been feeling isolated or stuck.
My clients are those who feel frustrated due to recurring negative thoughts or behaviors they struggle to change on their own. We work together to improve these harmful patterns that can seem like a never-ending loop. To help initiate change, my therapeutic style utilizes a humanistic and person centered approach emphasizing trauma informed care. This approach centers our work on harmful thoughts, emotions, and behaviors so we can work on the whole person to identify areas of need, allowing the opportunity to support those who have been feeling isolated or stuck.
(380) 444-4599 View (380) 444-4599

See more therapy options for London

How does your Therapist compare?

Number of Therapists in London, OH

10+

Average cost per session

$200

Therapists in London, OH who prioritize treating:

100% Depression
100% Anxiety
75% Grief
67% Trauma and PTSD
50% Relationship Issues
50% ADHD
50% Alcohol Use

Average years in practice

26 Years

Top 3 insurances accepted

100% Cigna and Evernorth
100% UnitedHealthcare UHC | UBH
100% Optum

How Therapists in London, OH see their clients

100% In Person and Online

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in London?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.